摘要：目的：探讨前列腺增生症(BPH)经尿道双极等离子电切术治疗效果和安全性。方法：采用经尿道等离子前列腺电切术(PKRP)治疗BPH158例,随访3～24个月。结果：前列腺重量平均75.8g,手术时间(45±20)min。术后留置尿管(2.5±2.0)d,术后住院时间(3.0±2.0)d。最大尿流率(Qmax)由术前的(5.2±1.8)mk/s上升至术后3个月的(14.8±3.2)mk/s(P<0.01),前列腺症状评分(I-PSS)术前为(28.3±1.5)分,术后3个月降至(4.9±1.1)分(P<0.01)。结论:经尿道双极等离子前列腺电切术手术效果良好,并发症少,手术安全。

    关键词：前列腺增生症；等离子双极电切术；尿道

    Transurethral Plasmakinetic Vaporization of Prostate for Treatment of BPH Patients

    ZONG Chao-hui,XING Jia-long

    (Department of Urology， Rugao People’s Hospital, Jiangsu Rugao 226500, China)

    Abstract：Objective： In order to evaluate the validity and safety of transurethral plasmakinetic resection of benigh prostatic hyperplasia(BPH). Method：158 cases of BPH were treated by Transurethral plasmakinetic resection of prostate(PKRP) and had been followed up at 3～24 months. Result: The mean weight of the prostate was 75.8g,The operative time was (45±20)min. The catheterization time was (2.5±2.0) days and the postoperative hospital stay was (3.0±2.0) days. Peak urine flow increased from (5.2±1.8)ml/s to (14.8±3.2)ml/s (P<0.01)and I-PSS decreased from (28.3±1.5) to (4.9±1.1) (P<0.01) at 3 months postoperatively.Conclusion: Transurethral plasmakinetic resection of prostate is effective with less complications；It is recommended for the treatment of symptomatic BPH. ......